Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills
Abstract Background The American Association of Medical Colleges has defined peripheral intravenous cannulation as one of the eight practical skills that a medical student should possess upon graduation. Since following a standard hygiene protocol can reduce the rate of complications such as bloodst...
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doaj-13aba2d6c1b4424abb5e5b5c5a176f332021-08-22T11:47:07ZengBMCBMC Medical Education1472-69202021-08-012111810.1186/s12909-021-02868-5Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skillsAnnika Meyer0Jakob Schreiber1Julian Brinkmann2Andreas R. Klatt3Christoph Stosch4Thomas Streichert5Department of clinical chemistry, University of Cologne, Faculty of medicine and university hospitalInterprofessional Skills Lab and Simulation center (KISS), University of Cologne, faculty of medicine and university hospitalInterprofessional Skills Lab and Simulation center (KISS), University of Cologne, faculty of medicine and university hospitalDepartment of clinical chemistry, University of Cologne, Faculty of medicine and university hospitalInterprofessional Skills Lab and Simulation center (KISS), University of Cologne, faculty of medicine and university hospitalDepartment of clinical chemistry, University of Cologne, Faculty of medicine and university hospitalAbstract Background The American Association of Medical Colleges has defined peripheral intravenous cannulation as one of the eight practical skills that a medical student should possess upon graduation. Since following a standard hygiene protocol can reduce the rate of complications such as bloodstream infections, the medical student’s compliance to hygienic standards is highly relevant. Methods This unicentric longitudinal cohort study included 177 medical students undergoing OSCE 1 in the winter semesters 2016/2017 and 2017/2018 as well as OSCE 2 during the winter semesters 2018/2019 and 2019/2020 at the University of Cologne. Their performance in peripheral intravenous cannulation was rated by trained student supervisors using a scaled 13-item questionnaire and compared between OSCE 1 and OSCE 2. Results Overall, a decline in the correct placement of peripheral intravenous catheters was observed among advanced medical students during OSCE 2 (mean total score: 6.27 ± 1.84) in comparison to their results in OSCE 1 (mean total score: 7.67 ± 1.7). During OSCE 2, the students were more negligent in regard to hygienic behavior, such as disinfection of the puncture site as well as hand disinfection before and after venipuncture. Their patients were also less likely to be informed about the procedure as compared to OSCE 1. Conclusions An unsatisfying performance in regard to peripheral intravenous cannulation was observed in medical students with hygiene compliance deteriorating between the third and fifth year of their study. Thus, we promote an extension of practical hygiene and stress management training in medical school to reduce complications associated with intravenous catheters, such as bloodstream infections.https://doi.org/10.1186/s12909-021-02868-5Hygienic venipunctureHygieneMedical studentPeripheral intravenous catheter (PIV)Objective Structured Clinical Examination (OSCE) |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Annika Meyer Jakob Schreiber Julian Brinkmann Andreas R. Klatt Christoph Stosch Thomas Streichert |
spellingShingle |
Annika Meyer Jakob Schreiber Julian Brinkmann Andreas R. Klatt Christoph Stosch Thomas Streichert Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills BMC Medical Education Hygienic venipuncture Hygiene Medical student Peripheral intravenous catheter (PIV) Objective Structured Clinical Examination (OSCE) |
author_facet |
Annika Meyer Jakob Schreiber Julian Brinkmann Andreas R. Klatt Christoph Stosch Thomas Streichert |
author_sort |
Annika Meyer |
title |
Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills |
title_short |
Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills |
title_full |
Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills |
title_fullStr |
Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills |
title_full_unstemmed |
Deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills |
title_sort |
deterioration in hygiene behavior among fifth-year medical students during the placement of intravenous catheters: a prospective cohort comparison of practical skills |
publisher |
BMC |
series |
BMC Medical Education |
issn |
1472-6920 |
publishDate |
2021-08-01 |
description |
Abstract Background The American Association of Medical Colleges has defined peripheral intravenous cannulation as one of the eight practical skills that a medical student should possess upon graduation. Since following a standard hygiene protocol can reduce the rate of complications such as bloodstream infections, the medical student’s compliance to hygienic standards is highly relevant. Methods This unicentric longitudinal cohort study included 177 medical students undergoing OSCE 1 in the winter semesters 2016/2017 and 2017/2018 as well as OSCE 2 during the winter semesters 2018/2019 and 2019/2020 at the University of Cologne. Their performance in peripheral intravenous cannulation was rated by trained student supervisors using a scaled 13-item questionnaire and compared between OSCE 1 and OSCE 2. Results Overall, a decline in the correct placement of peripheral intravenous catheters was observed among advanced medical students during OSCE 2 (mean total score: 6.27 ± 1.84) in comparison to their results in OSCE 1 (mean total score: 7.67 ± 1.7). During OSCE 2, the students were more negligent in regard to hygienic behavior, such as disinfection of the puncture site as well as hand disinfection before and after venipuncture. Their patients were also less likely to be informed about the procedure as compared to OSCE 1. Conclusions An unsatisfying performance in regard to peripheral intravenous cannulation was observed in medical students with hygiene compliance deteriorating between the third and fifth year of their study. Thus, we promote an extension of practical hygiene and stress management training in medical school to reduce complications associated with intravenous catheters, such as bloodstream infections. |
topic |
Hygienic venipuncture Hygiene Medical student Peripheral intravenous catheter (PIV) Objective Structured Clinical Examination (OSCE) |
url |
https://doi.org/10.1186/s12909-021-02868-5 |
work_keys_str_mv |
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